Morton’s Neuroma?

Morton’s neuroma is a painful condition affecting one of the nerves in the front of the foot, most commonly between the 3rd and 4th toes. The nerve becomes irritated and thickened, often causing pain, burning, tingling, or numbness in the toes. It also occurs between the 1st and 2nd toes.

Although it is called a “neuroma,” it is not usually a true tumour. It is more like a swollen, irritated nerve caused by pressure and irritation over time.

Common Symptoms

People with Morton’s neuroma often describe:

  • Sharp or burning pain in the ball of the foot

  • Tingling or numbness in the toes

  • Feeling like there is a pebble or fold in the sock

  • Pain that worsens in tight shoes

  • Symptoms that improve when shoes are removed or the foot is massaged

  • Discomfort when walking for long periods

The condition most commonly affects the area between the 3rd and 4th toes but can also occur between the 2nd and 3rd toes.

What Causes It?

Several factors can contribute to Morton’s neuroma, including:

  • Tight or narrow footwear

  • High heels

  • Repetitive pressure on the forefoot

  • Flat feet or overpronation

  • High arches

  • Certain sporting activities such as running

  • Biomechanical issues affecting foot function

Self-Help Advice

Footwear Changes

One of the most important treatments is wearing suitable footwear.

Choose shoes that:

  • Have a wide toe box

  • Are supportive and cushioned

  • Avoid squeezing the front of the foot

  • Have a lower heel height

Avoid:

  • Pointed shoes

  • Tight fitting footwear

  • High heels for prolonged periods

Activity Modification

Reducing activities that aggravate symptoms can help settle irritation.

You may benefit from:

  • Taking breaks from high-impact exercise

  • Avoiding prolonged standing where possible

  • Gradually returning to activity once symptoms improve

Ice Therapy

Applying ice to the painful area may help reduce irritation.

  • Apply for 10–15 minutes

  • Use a towel between the ice and skin

  • Repeat several times daily if required

Orthotics and Insoles

Custom orthotics or specialist insoles may help reduce pressure on the affected nerve by improving foot mechanics and redistributing weight away from the painful area.

Metatarsal padding can also help relieve pressure across the forefoot.

When to Seek Professional Help

You should consider professional assessment if:

  • Pain persists despite footwear changes

  • Symptoms are worsening

  • Numbness becomes more noticeable

  • Walking becomes difficult

  • Symptoms are affecting work, exercise, or daily life

A podiatry assessment can help confirm the diagnosis and identify contributing factors.

Treatment Options

Treatment may include:

  • Footwear advice

  • Orthotics or insoles

  • Padding and offloading techniques

  • Stretching and strengthening advice

  • Activity modification

  • Injection therapy in some cases

  • Referral for imaging if necessary

Surgery is usually only considered when conservative treatment has not helped.

How We Can Help

At Norton Podiatry we assess foot mechanics, identify contributing factors, and provide tailored treatment plans to help reduce pain and improve comfort.

If you are struggling with forefoot pain or think you may have Morton’s neuroma, contact us to arrange an assessment.